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A current innovation I have chosen is the innovation of the transcutaneous measurement of bilirubin (TcB). This TcB is a non-invasive device that is used to measure jaundice by tapping the end of it on the infants forehead or chest in the hospital setting. The goal with the TCB device is to see a reduction in numbers of blood draws on newborn infants to keep documentation of jaundice results (Kilmartin et al., 2020).

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This is an image of a TcB.

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One of the biggest pro to this TcB device is that it is a non-invasive measurement for jaundice providing instant quick results rather then having the nurse draw blood from the infant, send it to the lab and wait for results. Lastly in itemized hospital bills it is proven that a TcB check saves money rather than a blood draw. (Kilmartin et al., 2020).

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One con using the TcB is that depending on the infant it is possible that it can result inaccurately due to the color of skin type the infant has, this happens most commonly in African Americans. Another con is that the TcB device is targeted to newborn infants what are low-risk and older then 35 weeks gestations age (Kilmartin et al., 2020).

A rational I though of making sure all lights are turned on in the room before performing the TcB test and and utilizing nursing skills to exam other signs and symptoms of jaundice in infants such as yellowing of the sclera.

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The first of my top five strengths consist of consistency. I have made a policy for another evidence-based practice we trialed on the floor before. Due to that previous project my second strength I have is being a learner. I believe in learning from mistakes and nothing is going to be perfect the first time around. the third strength I can bring to my group is working strategic in a crunch I am good on my feet of a solution. My forth strength is adaptability, as stated on my third strength if plan change I am good at adapting to what is new and a very big "go with the flow" person. My last strength is being an achiever. No matter how long it will take me to a goal I hold resilience to wait until one day it is achieved even if it means years of trial and error.

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Reducing Outpatient Infant Blood Draws with Transcutaneous Measurement of Bilirubin

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Newborn jaundice is a common outpatient problem. Transcutaneous bilirubin (TcB) measurements correlate well with total serum bilirubin (SB) measurements below 15 mg/dl and are efficient and noninvasive. Some concern exists that TcB measurement…

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Kilmartin, K. C., McCarty, E. J., Shubkin, C. D., & Holmes, A. V. (2020, July 7). Reducing outpatient infant blood draws with transcutaneous measurement of bilirubin. Pediatric quality & safety. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7351454/

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Daisy - I would have daisy on my team to bring her development skills to the project.

Izzie - Izzie can provide great input into this project as I would like to hear others opinions.

Pablo - Pablo would be a great factor to have on the team to uplift the team and keep the positivity.

Fernando - We definitely want Fernando on this team as he would be the task keeper and making sure we are all keep focused to stay on track.

Alice - Lastly Alice and I would work great together on this team as she also is an achiever and will have the same drive to this project and I will.